Membership Registration for Nebraska Physiological Society Meeting

The registration for the meeting includes 2016 membership in the Nebraska Physiological Society, breakfast, lunch and break snacks at the meeting.

* Required information

Name*
Title*
School*
Address*
E-mail*
Phone*

Registration:*

Professional Status Member $30.00
Trainee Status Member $15.00
Other Professionals (who are not NPS members) $35.00

NOTICE: This Membership Registration Form may be submitted electronically or mailed to the address below. In either case, mail your membership/registration dues to the address below:

Cindy Norton CAP-OM
Executive Director
Nebraska Physiological Society
University of Nebraska Medical Center
Department of Cellular and Integrative Physiology
985850 Nebraska Medical Center
Omaha, NE 68198-5850
Tel:402-559-4426
FAX: 402-559-4438
Email: nps@unmc.edu

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